Sebaceous Cysts: When to Seek Treatment for Skin Lumps - Dermatology

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There are two lumps on the back of my head, and after seeing a dermatologist, I was told they are sebaceous cysts?


I initially thought it was just a pimple that would resolve on its own, so I didn't see a doctor.
The lump has been present for quite a while (over a year).
The doctor only took a quick look (without even parting my hair) and told me it felt like a sebaceous cyst, suggesting that it wouldn't cause any issues if left alone.
They mentioned that if I wanted it removed, I could undergo surgery.
I was considering just leaving it be, but after researching at home, I found that sebaceous cysts typically don't itch, although I feel a bit itchy.
Sometimes I couldn't help but scratch it.
Could it be something other than a sebaceous cyst? There are two lumps located nearby (but it seems the doctor only saw one)...
Both are about 1 cm, and one is partially obscured by hair, which makes me a bit anxious.
If I leave them alone, will it really be okay?

Xiao Zhou, 20~29 year old female. Ask Date: 2019/04/17

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to determine the issue.
If it is very concerning, please seek medical attention as soon as possible.
Only after an examination can the problem be identified and addressed.

Reply Date: 2019/04/17

More Info


Sebaceous cysts, also known as epidermoid cysts, are common benign lumps that can develop on the skin. They are typically filled with a protein called keratin and can occur anywhere on the body, although they are most commonly found on the face, neck, and trunk. Understanding when to seek treatment for these skin lumps is crucial for maintaining skin health and addressing any concerns you may have.


When to Seek Treatment
1. Persistent Growth: If a cyst has been present for over a year and continues to grow, it is advisable to consult a dermatologist. While sebaceous cysts are generally harmless, any changes in size or appearance can warrant further investigation to rule out other conditions.

2. Pain or Discomfort: If the cyst becomes painful, tender, or inflamed, it may indicate an infection or other complications. In such cases, seeking medical advice is essential. An infected cyst may require drainage and antibiotics to prevent further issues.

3. Itching or Irritation: While sebaceous cysts typically do not itch, if you experience itching, it could be a sign of irritation or an allergic reaction. Scratching the cyst can lead to inflammation or infection, so it’s best to consult a healthcare professional.

4. Cosmetic Concerns: If the cyst is located in a visible area and affects your self-esteem or confidence, discussing removal options with a dermatologist can be beneficial. Surgical removal is a common procedure that can be performed under local anesthesia.

5. Multiple Cysts: If you notice multiple cysts developing, it may be indicative of a condition known as steatocystoma multiplex, which can require a different treatment approach. Consulting a dermatologist can help determine the best course of action.


Diagnosis and Treatment Options
When you visit a dermatologist, they will typically perform a physical examination of the cyst. In some cases, imaging tests may be necessary to confirm the diagnosis. If the cyst is confirmed to be a sebaceous cyst, treatment options may include:
- Observation: If the cyst is not causing any problems, your doctor may recommend simply monitoring it over time.

- Drainage: If the cyst is infected or causing discomfort, your doctor may perform a drainage procedure to relieve symptoms.

- Surgical Removal: For cysts that are bothersome or recurrent, surgical removal is often the most effective treatment. This involves excising the cyst and its contents, which can prevent recurrence.


Home Care and Management
While waiting for a consultation or treatment, there are some steps you can take to manage the cyst:
- Avoid Picking or Squeezing: This can lead to infection and scarring. It’s important to leave the cyst alone to prevent complications.

- Keep the Area Clean: Gently wash the area with mild soap and water to keep it clean and reduce the risk of infection.

- Monitor Changes: Keep an eye on the cyst for any changes in size, color, or symptoms. Documenting these changes can be helpful for your doctor.


Conclusion
In summary, sebaceous cysts are generally benign, but it’s important to be vigilant about any changes. If you have a cyst that has persisted for over a year, is causing discomfort, or is affecting your self-esteem, it’s wise to seek medical advice. A dermatologist can provide a proper diagnosis and recommend appropriate treatment options tailored to your specific situation. Remember, early intervention can prevent complications and help you maintain healthy skin.

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